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0 <br /> CITY OF ANACORTES <br /> BLDG. a, PLUMBING, ❑ MECHANICAL ❑. <br /> PERMIT t 0.1.` 1 <br /> r Telephone;293-5173 ,,++ .� <br /> It HANACORTES, WASH. DATE k.1 itJ`✓4 R� 4` <br /> PERMISSION IS HEREBY.GRANTED TO: <br /> 1 <br /> '.OWNER 'M;dt.g it 'ILL: - <br /> k"STREET el(1 - , 3 it/. ; - <br /> ADDRESS ,f - ' <br /> LOCATION WHERE WORK IS TO BE DONE e <br /> ,liCONTRACTOR (t At <br /> TO-ERECT Q INSTALL O OR REPAIR O F <br /> ,, IN' E FOLLOWING MANNER: I" Pt pO1 -" �` 2 ° ? `rA) <br /> iti <br /> n <br /> ( � <br /> k'-' PERMIT EXPIRES ONE YEAR FROM DATE ISSUED <br /> _'PLANS FOR CONSTRUCTION WERE OT SUBMITTED <br /> NOT <br /> O IJ <br /> . WORK TO BE DONE BY OWNER . CONTRACTOR ❑ 11 <br /> f- RECEIPT OF FEES IS ACKNOWLEDGED AS'.;;FOLLOWS: - - - 1 <br /> - 'APPROXIMATE VALUE - <br /> TYPE . - 1 .I' OF—WORK PERMIT FEES <br /> 617 ISSUING - <br /> D, BUILDING '1 I'"511 <br /> 1.au0 G' .d' r .:iw <br /> GAS PIPING, . - - H I; <br /> PLUMBING AND W.S. - ' 1 1 <br /> r SEWER CONNECTION INSP. ! 1 <br /> .,r <br /> MECHANICAL I I l -. <br /> PLAN CHECK FEE 1 I id - <br /> MISC. I I', f .k ; <br /> TOTAL- - �p i I I1'5 44 OQv . /,v 141,1 c .i' 4 <br /> LEGAL'DESCRIPTION :.aR,we'- b ad$ & — =tlf <br /> `c ,010- " -acrroc'' {1 <br /> 1 <br /> CITY`INSPEOTOR . 1 <br /> 1 _ - I <br />